Individual provider · Type 1 NPI

Vasanth Kumar Selvam, DO

Student in an Organized Health Care Education/Training Program · West Islip, NY

NPI number 1053007047 Active

Practice location

1000 Montauk Hwy # 11795
West Islip, NY 11795-4927

Call (631) 376-3000 Map

Fax (631) 376-3420

Mailing address

8139 267th St
Floral Park, NY 11004-1531

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X331951 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1053007047

Vasanth Kumar Selvam, DO's National Provider Identifier is 1053007047, issued on Apr 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Islip, NY. The record was last updated on Apr 14, 2025.